KENT STATE UNIVERSITY - East Liverpool Campus Physical Therapist Assistant Program

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KENT STATE UNIVERSITY
                East Liverpool Campus

          Physical Therapist Assistant Program
                        Application Information Packet

                                               2022
2022 East Liverpool Campus
                    Physical Therapist Assistant Technology (PTST) Major
                               Technical Study Application Information
This packet contains important information about the application and selection process for acceptance to technical
study in the Physical Therapist Assistant Technology (PTST) major at Kent State University (KSU). It is each
applicant’s responsibility to acquire, read and understand the application and selection process as described
in this packet and available on the PTST webpage. All applicants should meet with an academic advisor while
preparing to apply to PTST technical study (PTA Program).
Students in the PTST major, who meet the minimum qualifications, must apply and be accepted to technical study. The
online application to PTST technical study at East Liverpool is due by April 1, 2022. Evidence that the applicant meets
the minimum qualifications must be received on or before the application deadline. It is the applicant’s responsibility
to ensure that all application materials are received in the Physical Therapist Assistant (PTA) program office.
The selection committee ranks and accepts a maximum of 28 students annually to PTST technical study. Accepted
students will begin critical (!) PTST courses in Fall Semester, 2022. Applicants who have not completed BSCI 11010
may be accepted conditionally with the expectation that this course is passed with a grade of “C” or better in the Summer
session prior to the start of critical courses.
Students interested in the PTST major are encouraged to attend a scheduled Information Session on either the Ashtabula
or East Liverpool campus. Topics during these sessions include: review of the minimum qualifications, the application
and selection processes, and expectations of students accepted to PTST technical study, and current career information.
Academic advisors are available on the East Liverpool and Ashtabula campuses to help students in the PTST major
select courses and plan for success. It is strongly recommended that all PTST students meet regularly, in person or by
phone, with an advisor. To schedule an advising appointment, contact the PTA program office at 330-382-7448 or
driggs@kent.edu.
Thank you for your interest in the Associate of Applied Science degree in Physical Therapist Assistant Technology at
Kent State University. We look forward to helping you reach your career goals.

      Physical Therapist Assistant Technology (PTST) at Kent State University Ashtabula Campus, the
      expansion program on the East Liverpool Campus, and the Athletic Trainers Transition (PTST-ATT)
      concentration are each accredited by the Commission on Accreditation in Physical Therapy
      Education (CAPTE), 111 North Fairfax Street, Alexandria, Virginia 22314, telephone: 703-706-
      3245; email: accreditation@APTA.org; website: http://www.capteonline.org. If needing to contact
                                                       P a gKiphart,
      the program/institution directly, please call Tiffany  e | 1 PTA Program Director at 440-964-
      4579 or via e-mail at tkiphart@kent.edu
PROGRAM INFORMATION

Program History & Accreditation

Kent State University at East Liverpool (KSU-EL) was first accredited in 1989 by the Commission on Accreditation
of Physical Therapy Education (CAPTE) as a Physical Therapist Assistant program. The program was expanded in
1996 to the Ashtabula Campus (KSU-A). The PTA programs on each campus sought and received independent
accreditation from 2005 to 2013. In 2009, KSU-A was also accredited to offer the Athletic Trainers Transitions
concentration, which provides advanced placement to certified athletic trainers.

In April, 2013, KSU received CAPTE approval to re-structure the administration of the Physical Therapist Assistant
Technology (PTST) degree programs under one director and with one accreditation for all degree options offered at
Kent State University (KSU). Independently, the three degree options have consistently received the longest
accreditation periods possible. In November 2015, all three programs were re-accredited for 10 more years.
Physical Therapist Assistant Technology (PTST) at Kent State University at Ashtabula, the expansion program at East
Liverpool, and the Athletic Trainers Transition (PTST-ATT) concentration are each accredited by the Commission on
Accreditation in Physical Therapy Education (CAPTE), 111 North Fairfax Street, Alexandria, Virginia 22314,
telephone: 703-706-3245; email: accreditation@APTA.org; website: http://www.capteonline.org.

Mission
The Physical Therapist Assistant Program at Kent State University prepares graduates to be employed as physical
therapist assistants who work under the direction and supervision of a physical therapist. Graduates will have the
critical thinking skills, excellent knowledge base, competent technical skills, and behaviors consistent with
expectations of the physical therapy profession and the communities it serves.

Program Goals
The PTA Program will,
    1. Graduate students who
          a. Earn an Associate of Applied Science in Physical Therapist Assistant Technology
          b. Pass the National Physical Therapist Assistant Examination
          c. Are employed as a licensed physical therapist assistant
          d. Provide safe and effective patient care in a legal, ethical and culturally competent manner
    2. Provide a curriculum that
          a. Is current, relevant and effective
          b. Includes a variety of appropriate learning experiences in both the academic and clinical settings
          c. Is sequential and cumulative to facilitate student achievement of the curriculum objectives
    3. Retain faculty who
          a. Are qualified to teach their content areas
          b. Model and mentor the behavioral expectations of physical therapy practitioners
          c. Foster an environment of mutual respect and collaborative learning

AAS-PTST Degree
The Associate of Applied Science (AAS) in Physical Therapist Assistant Technology (PTST) provides students with
the knowledge, skills and behaviors necessary to become licensed or certified as a physical therapist assistant (PTA).
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Licensure or certification in most states requires graduation from an accredited PTA program, background clearances,
and passing the National Physical Therapy Examination.
The integrated curriculum includes lecture, lecture/lab, seminar and practicum courses. Core PTST course content is
cumulative and taught in four sequential semesters in a two-year cycle. The Technical Study curriculum requires
students to be on campus or in the clinic three to five days per week each term.
Three practicum courses require students to complete a minimum of 640 off-campus clinical education hours under
the supervision of a licensed physical therapist or physical therapist assistant. Under certain circumstances, students in
practicum courses are required to attend clinical rotations on days outside of the academic calendar. These
circumstances may occur on scheduled or unscheduled campus closures or on days when classes are cancelled.
Examples include: certain holidays, spring recess, snow days and/or prior to the start of semesters. The clinical
education schedule is included in this information packet.
Contracted clinical education sites normally require students to demonstrate both medical and background clearances,
as well as the ability to perform the core tasks and essential job functions of a physical therapist assistant. Students
who are unable to perform the core tasks and essential job functions, or who cannot demonstrate medical and
background clearance may not be able to complete the requirements for the Physical Therapist Assistant Technology
degree.
Admission to the PTST major is open to anyone with a high school diploma or its equivalent. Acceptance to
Technical Study (PTA Program) is a selective process.

Student Outcomes
The Kent State University graduate with an AAS-PTST degree demonstrates the ability to provide physical therapy
services in a legal, ethical and culturally competent manner.
1. Provides appropriate and effective physical therapy interventions within the plan of care established by a physical
   therapist.
2. Effectively communicates with others, teaching or instructing when appropriate.
3. Produces legal and ethical documentation to meet professional expectations and the needs of third party payers.
4. Ethically manages fiscal and human resources to provide high-quality, efficient and cost-effective physical therapy
   services.
5. Consistently demonstrates the value-based behaviors of a physical therapist assistant.

                                     CAREERS IN PHYSICAL THERAPY
The physical therapist (PT) and physical therapist assistant (PTA) are part of a team of healthcare professionals who
help patients achieve their goals to improve physical function, whether those goals are to be able to walk or to set an
athletic achievement record. Information about physical therapy, the Role of a Physical Therapist, and the Role of the
Physical Therapist Assistant is available at the American Physical Therapy Association website at www.apta.org, the
Home : Occupational Outlook Handbook: : U.S. Bureau of Labor Statistics at www.bls.gov; or O*Net Online Summary
Report: Physical Therapist Assistants at www.onetcenter.org .

Physical Therapist Assistant Career Overview (Retrieved from www.apta.org; May 2020)
        Physical therapists and physical therapist assistants (PTAs) under the direction and supervision of a physical
        therapist are the only providers of physical therapy services. In many practice settings, physical therapists rely
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on the PTA to assure that all patients/clients have access to physical therapy services. Physical therapy has a
        long history of returning individuals to their maximum level of physical function and in many cases, patients
        are being sent to physical therapy instead of surgery. Patients/clients value the individualized, "hands on"
        approach that characterizes physical therapy care. When a physical therapist sees a patient/client for the first
        time, he or she examines that individual and develops a plan of care that promotes the ability to move,
        reduces pain, restores function, and prevents disability. The physical therapist may choose to utilize a PTA in
        the provision of components of the physical therapy treatment. The physical therapist, PTA, and the
        patient/client then work side-by-side to make sure that the goals of the plan or care are met.
        Depending on the particular needs of a patient/client, physical therapists may direct components of a
        patient/client's interventions (treatments) to a PTA. PTAs provide a variety of physical therapy techniques as
        they carry out the physical therapist's plan of care for the patient, including therapeutic exercise, functional
        training, deep soft tissue massage, and physical modalities such as electrotherapy and ultrasound. PTAs may
        also assist the physical therapist by working with individuals to prevent loss of mobility by implementing
        fitness- and wellness-oriented programs for healthier and more active lifestyles.
Required Licensure to Work as a PTA
Licensure or Certification is required to work as a Physical Therapist Assistant. Earning an associate degree from
an accredited PTA program is the first step in being eligible for licensure as a physical therapist assistant. Graduates
must also pass the National Physical Therapy Examination (NPTE) and meet all the standards of the state jurisdiction
where they plan to work. Each student is responsible for understanding the laws and rules controlling the practice of
physical therapy in their home state. The Federation of State Boards in Physical Therapy (www.fsbpt.org) manages the
NPTE and provides access to licensing authorities. In Ohio the licensure process is under the direction of the Ohio
Occupational Therapy, Physical Therapy, and Athletic Trainers Board. (http://OTPTAT.ohio.gov/)
After Graduation Physical Therapist Assistants have the opportunity to increase their knowledge and skills through
APTA’s PTA Advanced Proficiency Pathways program. Content areas are acute care, cardiovascular/pulmonary,
geriatrics, oncology, orthopedics, pediatrics, and wound management. Participants receive guidance from a self-
designated clinical mentor who has expertise in the content area. The program is voluntary; PTAs are not required to
participate in order to work in a specific area.

Market Outlook
The U.S. Department of Labor Bureau of Labor and Statistics projects that between the years 2019-2029, the need for
PTAs will increase by 33% (15,100 job openings) in response to the healthcare needs of a growing elderly population
O-Net Online reports the median wages for PTAs in 2020 at $59,770 annually, with a mean hourly wage of $28.74. Pay
rates for skilled nursing facilities and casual call therapists tend to be higher due to the high demand for personnel in
these positions. While the national job outlook is strong, local demand for PTAs may vary. Projected annual job
openings in the state of Ohio between 2018-2028=970 jobs annually. (retrieved from O-Net Online May 2021)

                                  EXPECTATIONS OF PTST STUDENTS
Essential Functions of a PTA
Essential functions are the abilities, knowledge, and skills required for a career as a physical therapist assistant. The
Summary Report for 31-2021.00 Physical Therapist Assistant, provides a detailed list of the technology, tools,
knowledge, skills, abilities, work activities and work context, as well as other PTA career related information.

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PTA students must be confident that, with reasonable accommodations, they are able to perform the essential functions
of a PTA. Impairments that limit the student’s ability to perform core tasks may affect program progression, licensure,
and career opportunities. Any future PTA student with a concern regarding the ability to perform core tasks, should
discuss this with a program advisor.
        Core Tasks of a PTA: partial list of the work activities of a PTA
       Instruct, motivate, safeguard, and assist patients as they practice exercises or functional activities.
       Observe patients during treatments to compile and evaluate data on their response and progress and provide
        results to the physical therapist in person or through progress notes.
       Confer with physical therapy staff or others to discuss and evaluate patient information for planning,
        modifying, or coordinating treatment.
       Administer active or passive manual therapeutic exercises, therapeutic massage, aquatic physical therapy, or
        heat, light, sound, or electrical modality treatments, such as ultrasound.
       Measure patients' range-of-joint motion, body parts, or vital signs to determine effects of treatments or for
        patient evaluations.
       Communicate with or instruct caregivers or family members on patient therapeutic activities or treatment
        plans.
       Transport patients to and from treatment areas, lifting and transferring them according to positioning
        requirements.
       Secure patients into or onto therapy equipment.
       Train patients in the use of orthopedic braces, prostheses, or supportive devices.
       Assist patients to dress, undress, or put on and remove supportive devices, such as braces, splints, or slings.

Background Clearances
All students in PTST technical study are required to complete a civilian background check during the second semester
and are expected to disclose the report to any assigned clinic site that requests the information. A negative report may
prevent the student from being a) accepted as a student at a specific clinical site, b) approved by a jurisdiction for
license, or c) being hired as a PTA. Students who are refused placement in three clinic sites will not be able to
complete the degree requirements for the AAS-PTST degree. Students with concerns about their background
should consult with an attorney, and their licensing authority.
The practice of physical therapy is regulated by state and federal law. Many jurisdictions require federal and state
background clearances before a license is granted. Students with a previous conviction may not be approved to be
licensed or sit for the National Physical Therapy Examination (NPTE).

Medical Clearances
Physical Therapy clinics have a duty to protect the patients and staff in their facilities, therefore licensed PTAs and
students in PTST technical study are required to document their health status and are expected to provide this
documentation to assigned clinic sites. Disclosure of personal medical information may include immunization records,
drug test results, physical exam, laboratory tests, or other requested medical information.
Kent State University has no use for student medical or background information, other than to assist students to meet
the requirements of contracted clinical education sites. Signed consent, by the student, allows the ACCE or Program
Director to disclose requested confidential information to a student’s assigned clinic site. The Program only serves as

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a conduit between the student and clinic sites and does NOT maintain any electronic or paper images of a students’
medical records.

Statistics for East Liverpool Campus PTST Technical Study Students: updated May 2021
CATALOG YEAR                          2014-15     2015-16      2016-17     2017-18     2018-19      2019-20
Start Date                              Aug-14     Aug 15      Aug-16      Aug-17       Aug-18       Aug-19
Two year Graduation Date               May-16      May 17      May-18      May-19       May-20       May 21
OUTCOMES DATA

2 year graduation rate                 62.9%^         92%         89%       89.5%        94.4%        62.5%

NPTE First attempt                       94.1%      87.5%         84%       64.7%         100%             *

NPTE All Attempts                        100%       95.8%         92%       76.5%         100%             *

1 Year Employment Rate (Change
from 6 month for 2014 grads)             100%         91%         88%             *           *            *
* Incomplete Data

Roadmap: East Liverpool AAS, PTST
The PTST degree requires 65 credit hours with twenty-six (26) total courses, including clinical education experiences.
The courses listed on the following page includes required Kent Core general studies and related courses that may be
transferred from another institution or completed prior to applying to PTST technical study. The seventeen (17) critical
(!) courses may only be taken after acceptance to PTST technical study and must be taken in the semester and order
listed. The sequencing of critical (!) courses requires four semesters to complete the degree requirements, regardless of
how many non-critical classes are completed prior to acceptance to PTST technical study.
It is recommended, but not required, that students complete some of the non-critical courses prior to applying for
acceptance to technical study. Completing non-critical courses early increases the chance of being accepted and
decreases the academic load during the four (4) semester of technical study. Please note students accepted to PTST
technical study that have complete non-critical courses prior to technical study admission, may not be a full -
time (12 credit hours or more) student while completing the AAS-PTST degree.
Curriculum details, including course descriptions, prerequisites and schedules are available in the Kent State University
Catalog 2021

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Roadmap: EAST LIVERPOOL CAMPUS Physical Therapist Assistant Technology Associate of Applied Science (AAS, PTST) This
roadmap is a recommended plan of study. Courses and milestones designated as CRITICAL (!) must be completed in the semester listed to
ensure a timely graduation. AY 2021-22 updated May 2021

 Critical Course Subject and Title                                                                   Credit           Min.
                                                                                                     Hours            Grade
                                          Summer (Pre Technical Study Semester)
             BSCI 11010 Foundational Anatomy and Physiology I (KBS) (KLAB)                           3                      C
             PSYC 11762 General Psychology (DIVD) (KSS)                                              3                      C
             UC 10097 Destination Kent State: First Year Experience                                  1
             Kent Core Requirement                                                                   3                      C
             CREDIT HOURS                                                                            10
                                                   SEMESTER ONE (Fall)
             AHS 12010 Professionalism in Healthcare                                                 1                      C
             AHS 24010 Medical Terminology                                                           1                      C
             BSCI 11020 Foundational Anatomy and Physiology II (KBS) (KLAB)                          3                      C
             PTST 10000 Introduction to Physical Therapist Assistant                                 1                      C
     !       PTST 10011 Introduction to Therapeutic Exercise                                         1                      C
     !       PTST 10001 Principles of Patient Care in Physical Therapy                               4                      C
     !       PTST 10003 Clinical Conditions I                                                        2                      C
             CREDIT HOURS                                                                            13
                                                 SEMESTER TWO (Spring)
             AHS 12005 Concepts in Lifespan Development                                              3                      C
     !       AHS 22002 Clinical Kinesiology                                                          3                      C
     !       AHS 22003 Clinical Kinesiology Lab                                                      1                      C
     !       PTST 10004 Physical Therapy Procedures I                                                4                      C
     !       PTST 11005 Physical Therapy Practice I                                                  2                      C
             Kent Core Requirement                                                                   3                      C
             CREDIT HOURS                                                                            16
                                              SEMESTER THREE (Summer)

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!      PTST 11092 Clinical Education I (ELR) 4 weeks full-time                            1                   S
                                             SEMESTER FOUR (Fall)
   !      PTST 22092 Clinical Education II (ELR) 6 weeks full-time                           2                   S
   !      PTST 20003 Clinical Conditions II                                                  2                   C
   !      PTST 20004 Physical Therapy Procedures II                                          4                   C
   !      PTST 22005 Physical Therapy Practice II                                            2                   C
          Kent Core Requirement                                                              3                   C
          CREDIT HOURS                                                                       13
                                             SEMESTER FVE (Spring)
   !      PTST 20006 Physical Rehabilitation Procedures                                      4                   C
   !      PTST 20008 Clinical Conditions III                                                 2                   C
   !      PTST 20011 PTA Management of the Medically Complex Patient                         2                   C
   !      PTST 20007 Physical Therapy Practice III                                           2                   S
   !      PTST 23092 Clinical Education Practicum III (ELR) 7 weeks full time                2                   C
          CREDIT HOURS                                                                       12
          MINIMUM TOTAL CREDIT HOURS                                                         65

                    APPLICATION TO PTST TECHNICAL STUDY (PTA Program)

A. Minimum Qualifications for Consideration
   1. Admitted Kent State University student (Apply Now)
   2. Declared in the AAS-PTST major (see an Academic Advisor for instructions to change your major)

   3. Submit the online PTST Technical Study (PTA Program) Application -- The deadline is April 1, 2022 at
   5:00 pm
            a.   Late applications are considered on a first come, first served basis until the class is full.
            b. Admission to PTST technical study is a separate process from admission to the University
               and requires a separate application. Please see the link above
            c. There is no fee to apply for PTST Technical Study.

   4. Minimum 2.7 cumulative GPA from the most recent academic experience of 12 credit hours or more
   5. Demonstrate readiness for college level coursework through one of the following methods: *

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a. Results of ACT, SAT, or KSU admissions testing
         b. Complete all, AND earn a C/2.0 or better in all developmental courses prescribed during the KSU
            admissions process.

6. Submit Observation Forms
          a.    UP TO THREE (3), with a MINIMUM of (2) Observation Forms

                   20 hours of inpatient observation (a setting where the patient stays overnight)

                   20 hours of outpatient observation (a setting where the patient travels to the clinic site).

                   Additional 20 hours of observation in ANY setting where Physical Therapy is performed is
                    considered a BONUS observation experience and the applicant is awarded 5 extra points in
                    the application scoring if they are “Highly Recommended” or “Recommended”

                   Completed within two years of the application to technical study.

                   Adhere to the guidelines and expectation of the clinic site.

                   Maintain the confidentiality of all observed patients at the clinical site. State and federal law
                    prohibits revealing patient names or other personal information.
          b.    Schedule: Contact PT departments near your work or residence.

                   Tell them you are applying to a PTA program.

                   Ask if you could spend time observing in their clinic to learn more about the profession.

                   Schedule the times you will be at the clinic site.

                   Applicants are not permitted to complete observation hours (for program application) with
                    relatives.

                   Upon completion of each observation experience: Applicant completes Part I of the
                    Observation & Recommendation Form

                   Ask the licensed PT or PTA that was observed to complete Part II of the form.

                   Ask the PT clinic to fax the form directly to the Kent State University PTA Department.
                    Forms are not accepted from the applicant and cannot be reviewed at any time by the
                    applicant.

                   Watch for email confirmation that the form was received. Forms are kept on file in the PTA
                    office for 2 years.

   Applicants are considered for acceptance when registered in the KSU courses needed to be minimally qualified in #5-
     Demonstrate readiness for college level coursework.
   Applicants are Not Qualified for acceptance to technical study if “Not Recommended” on two Observation Forms,
     receive zero (0) points from the applicant assessment, or are banned from any clinic site.

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B. Recommended Preparation
   1. Attend an Information Session, scheduled monthly on each campus.
   2. Schedule advising appointments each semester. Academic advising is done via email, (user@kent.edu),
      telephone or in person. Call 330-382-7448 or email driggs@kent.edu to schedule an appointment.
   3. Complete all coursework needed to meet the minimum qualifications for acceptance to technical study.
   4. Complete non-critical PTST courses to build technical study application points (See Selection Process).
   5. Schedule and complete observation time in two (2) Physical Therapy departments.
   6. Submit the online Application to PTST Technical Study.

C. Plan for Applicant Assessment Day

  Group assessments of the top 45 most academically qualified applicants are schedule via kent.edu email notification.
  Applicants selected for the assessment process will receive an email (user@kent.edu) invitation at least one week
  prior to assessment day date with instructions to confirm their assessment time. All assessments will be conducted
  between 9:00 am and 4:00 pm on Friday, April 22, 2022. You will be assigned a time between 9am and 4
  pm, please do not schedule work or personal appointments during this time on this date.
  The purpose of the assessment process is to assess the applicant’s behaviors and readiness for a rigorous PTA
  program. Each applicant will complete 2 paper/pencil assessments followed by writing of 2 essay responses. All
  applicants are un-identified by name during the assessment process. Assessment sessions last for approximately 50
  minutes in length and normally include 5-8 applicants with 3-4 faculty or staff members in the assessment room.
  Following completion of the applicant assessment day, a maximum of 50 points are assigned to the assessments
  based on the following areas:

         Following Instructions
         Professional Confidence
         Speaking/Body Language Confidence
         Time Management/Arrival Time
         Professional Presentation
         College Readiness
         GRIT
         Penmanship
         Expression/Organization of Thought
         Professional Maturity
         Grammar
         Spelling
         Punctuation
         Depth of Knowledge
         Professional Language

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D. Selection Notification

   The PTST Program uses the Applicant Selection Process (next page) to select UP TO 28 applicants to begin PTST
   technical study (PTA Program). It is the discretion of the program to determine the total number of selected
   students for each cohort. This number is based on applicant scores, national market for PTA employment and
   local opportunities for graduate employment. All selection notifications are sent to the students KSU email
   address according to the following schedule. Please do not call unless you did not received an email.

             Selected for Applicant Assessment Day – by one week after application deadline
             Not Qualified or Not Selected for further Assessment- by one week after application deadline
             Selection Process Results (Selected, Alternate & Not Selected) – by 3rd week of May
   Applicants not accepted to technical study in a given year may re-apply in a subsequent year. Observation and
   Recommendation forms are valid and kept in the PTA office for two (2) years after the last observation date.
   Students not selected are encouraged to meet with a program advisor to review the strength of their application
   and establish a plan to meet their academic and career goals.
   If a student accepts a seat in the PTA Program and attends program orientation then withdraws from one or all
   PTST technical study courses, this is considered a Failure to Progress. If a student is offered a seat in the PTST
   technical study program but declines the offer they must re-apply to the technical study if they want to be
   considered for admission after the initial acceptance.

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APPLICANT SELECTION PROCESS

All complete applications with documentation of the minimum qualifications are evaluated and ranked in the first
three (2) selection criteria (*). Points are assigned based on information acquired in the KSU academic record. The top
45 applicants are invited to complete the Applicant Assessment Process. Seats in the class are offered to the applicants
with the highest total points in all 7 criteria. The program will select UP TO 28 students for each application cycle.
Selection Criteria: 170 possible (with observation bonus included)

1. * Grade Point Average………………………………………………………………….Maximum of 40 points
        4.0 - 40 points                      3.6 - 28 points                             3.2 - 16 points                             2.8 -   0

        3.9 - 37                             3.5 - 25                                    3.1 - 13                                    2.7 -   0

        3.8 - 34                             3.4 - 22                                    3.0 - 10

        3.7 - 31                             3.3 - 19                                    2.9 -    0

        Note: High School graduates with less than 12 college credit hours receive double GPA points in lieu of College Course Taken or Course
        Bonus points.

2. * College Courses Taken………………………………………………..………………Maximum of 45 points

    Each of the 9 open enrollment courses are awarded points based on the grade received in each course:
    A = 5 points,            B = 3 points,               C = 1 points
        BSCI 11010        Foundational Anatomy & Physiology I or ATTR 25057 or BSCI 22010 or EXSC 25057

        BSCI 11020        Foundational Anatomy & Physiology II or ATTR 25058 or BSCI 20020 or BSCI 22020 or EXSC 25058

        AHS 12005         Lifespan Development

        PSYC 11762        General Psychology

        PTST 10000        Introduction to PTA

        AHS 24010         Medical Terminology

        Kent Core Courses: Humanities and Fine Arts; Mathematics and Critical Reasoning; Composition I

3. Essential Behaviors (from observation experiences) ………………………………….Maximum of 18 points
    A licensed therapist rates the applicant in 6 criteria based on experiences during observation hours.

    3 points possible for each criterion. Points awarded for the lowest of the two ratings in each criteria.
        ~ Reliability / Accountability                                   ~ Inquisitiveness, Motivation, Independence

        ~ Verbal / Non-verbal communication                              ~ Professionalism, Maturity, Ability to work with others

        ~ Interpersonal /Skills                                          ~ Intellectual Potential, Judgment & Common Sense

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4. Observation Experience Recommendation …………………...………….…..…….…Maximum of 12 points
      Highly recommended             12          Average of all recommendations for total points
      Recommended                    6

      Recommended with reservation   0

      Not Recommended                -12         Note: Students “not recommended” by two clinicians are not
                                                 considered for acceptance into PTST technical study

5. Applicant Assessment…………………………………….…………............................Maximum of 50 points

6. Observation Bonus (if “highly recommended” or “recommended”)…………….Maximum of 5 points

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Transfer Student Policies

Transfer course credit
The Kent State University (KSU) Transfer Center evaluates the transcripts provided during the KSU admissions
process. All previous coursework is recorded and recognized as “Earned Credit”. Any course listed as equivalent to a
KSU course in the Transfer Credit Guide is guaranteed to transfer to KSU as the course listed. Any student with a
previously earned bachelor’s degree automatically receives credit for all Kent Core general studies requirements if a
“C” or better was earned in general education courses.
Students may petition a department to re-evaluate any transfer course that does not have an equivalent KSU course.
[Indicated by KSU course numbers with an “X” (Example: PSYC 1X135)]. Petitions may only be submitted after the
student is accepted to KSU and the Transfer Center has completed the process of evaluating the transcript. Please
consult your advisor regarding the process to petition for transfer credit.
Students must monitor the Graduation Planning System (GPS) Audit to confirm that transfer courses are recognized
as meeting the graduation requirements of the AAS-PTST degree. Petitions to recognize transfer course credit
should be completed during the first semester at KSU.
Transfer from another PT or PTA Program
Students who transfer from another physical therapist or physical therapist assistant degree program must apply and
be accepted to PTST technical study. Courses previously completed at another institution do not transfer as
equivalent to PTST courses at KSU.
Credit by Exam (CBE) is available by department approval for certain PTST courses in the curriculum. Students
requesting department approval for CBE must apply and be accepted to PTST technical study; and provide
documentation of the following from their previous academic experience.
    a. Institution – Good academic standing and cumulative GPA of 2.7 or better.
    b. PT or PTA coursework – Minimum grade of C in comparable coursework as demonstrated with official
       transcripts and a course syllabus, or a credentials evaluation for foreign educated physical therapist or physical
       therapist assistant.
Students approved for CBE have one (1) attempt to pass the written and final exams with 72% or better. Any student
who is unsuccessful in CBE must take and pass the course.
Upon faculty approval for CBE,
    a. The faculty provide the student with a course syllabus, including textbook, required reading and course
       objectives. Upon request the student is also provided with lecture objectives.
    b. The student submits the CBE form and pays the required fees to the KSU Registrar’s Office.
    c. The student independently studies for and completes the proctored exam(s).
Transfer between campuses at Kent State University
Students apply and are accepted to PTST technical study at either the Ashtabula or the East Liverpool campus. Once
admitted to technical study, a student is encouraged to complete the degree at that campus. Students who are in good
academic standing have one opportunity to request a transfer to the other campus. Note: Transferring between

                                                      P a g e | 14
campuses is a Failure to Progress, as defined in this Program Handbook, which will result in delayed graduation and
may require competency testing to re-enter technical study.
Approval of a campus transfer request is dependent upon the availability of a seat in the class. Students who transfer
to the other campus in the 1st, 2nd, or 3rd semester of technical study must complete all remaining degree requirements
and graduate from that campus.
Transfer between health care programs at Kent State University
Students who have been dismissed for academic reasons from a health care program at Kent State University are
eligible to apply for acceptance to technical study in another health care program at KSU as long as they meet the
admission requirements of the program to which they are transferring to and there is available space in the program.
Students who have been dismissed from a health care program at any campus of Kent State University for other
specified reasons may not enroll in another health care program or transfer to another campus within the same health
care program. Specified reasons include, but are not limited to: failure to pass a background check screening,
falsification of information or documentation, plagiarism, unprofessional behavior, use of drugs or alcohol, breach of
confidentiality, threatening or manipulative behavior, failure to maintain professional boundaries with clients, and
other behavioral or ethical issues identified at the discretion of the Dean. This does not include dismissals for
academic reasons.
The health care programs referred to herein include nursing, occupational therapy assistant technology, physical
therapist assistant technology, radiologic technology and respiratory therapy technology, and any other health-related
programs identified by the Dean.

                                       ADDITIONAL INFORMATION
Working While in PTST Technical Study
Many students continue to work while completing the critical courses in PTST technical study, however the ability to
do this is dependent upon work schedule flexibility, semester schedule and credit hour load, as well as the student’s
learning style and other responsibilities. Students are expected to attend all scheduled classes and must be available for
the required full-time clinical education experiences during the final year. It is strongly recommended that students not
work full-time once accepted to technical study.

Tuition and Fees
It is recommended that the applicant review updated tuition and fees information prior to application to the program.
Please visit Tuition at Kent State University and choose the most applicable starting semester to inquire about tuition.
Also be sure to choose the Regional Campuses option, for undergraduate coursework for the most up to date tuition
information. Also note that tuition is based on your state of residency. Students in the following counties are eligible
for a tuition surcharge reduction up of up to $6,000 per year (depending on number of registered hours): Brooke,
Hancock, and Ohio counties in West Virginia; Allegheny, Beaver, Butler, Crawford, Erie, Lawrence, and Mercer
counties in Pennsylvania.
Additional information is available at http://www.kent.edu/bursar/tuition-and-fees or by contacting the East
Liverpool financial aid office at 330-382-7557. Please see the Bursar’s webpage for further information or questions.

                                                      P a g e | 15
Tuition Guarantee
Beginning with the fall 2018 academic year, Kent State will offer all eligible new first-year undergraduate and transfer
students the certainty that the Ohio resident tuition rate (i.e. instructional and general fee) career services fee, as well as
room and board plan charges will not increase for their applicable cohort rate. Please see the New Tuition Guarantee
link for more information.
There is a $24 per credit hour fee for most PTST courses to cover the cost of lab supplies and some course and program
requirements. Fully online undergraduate courses are also assessed an additional $10 per credit hour fee. The current
cost sheet specific to the PTA program is found in this information packet.

Financial Aid and Scholarships

Many students in PTST technical study receive some form of financial aid. If you are interested in applying for financial
aid, please start by completing the FAFSA form (government financial eligibility form) online at studentaid.gov
Information on general financial aid and scholarships is available from the Office of Financial Aid, or 330-382-7557.
It is not recommended that you contact the Kent campus On-Stop for financial aid assistance.
Kent State University Administrative Policy 8-01.4 provides information regarding the formal complaint process at
Kent State University. Complaint forms and process may be obtained from the Assistant Dean.

Equal Opportunity
In academic and student programs, it is the policy of this University that there shall be no unlawful discrimination
against any student or applicant for admission as a student because of race, color, religion, gender, sexual orientation,
national origin, handicap, or identity as a disabled veteran or veteran of the Vietnam era. Such policy shall apply to, but
not necessarily be limited to, the following: recruiting, admission, access to programs, financial aid, and social,
recreational, and health programs. This policy shall be applicable to all campuses and units of the University. This
policy shall also apply with reference to discrimination on a basis of age insofar as required by law. Inquiries regarding
federal regulations and state law may be directed to the Office of Affirmative Action, Wright Hall, Kent State University,
Kent, Ohio 44242-0001.

Access and Accommodations
Kent State University recognizes its responsibility for creating an institutional climate in which students with
disabilities can succeed. In accordance with University Policy, if you have a documented disability, you may request
accommodations to obtain equal access and to promote your learning in this program. Please contact Danielle Baker-
Rose, the Disability Specialist, by e-mail dbaker13@kent.edu to inquire about appropriate accommodations. After
your eligibility is determined, you will be given a letter, which when presented to your instructors, will help us know
best how to assist you.

                                                        P a g e | 16
Technical Study Schedule: East Liverpool Campus PTST Class of 2024
             Term                    Academic                             Dates                                 Notes

    Spring 2022                Technical Study           April 1, 2022
                               Application Deadline

    Summer 2022                                          May 19-Aug 17, 2022                         Must complete BSCI 11010

    Fall 2022                  Semester 1                Aug 25-Dec 18, 2022                         Must complete BSCI 11020,
                                                                                                     PTST 10000 and AHS
                                                                                                     24010 in addition to critical
                                                                                                     PTST courses

    Fall Break 2022                                      Oct 13-16, 2022

    Spring 2023                Semester 2                Jan 17-May 10, 2023                         Must complete AHS 12010,
                                                                                                     12005 AND critical PTST
                                                                                                     courses

    Spring Break 2023                                    March 27-April 2, 2023

    Summer 2023                                          May 18-Aug 16, 2023                         Recommend completion of
                                                                                                     Kent Core requirements

                               Practicum in CE I         *unavailable at time of publishing          Full-time, 4 weeks

    Fall Term 2023             Semester 3                *unavailable at time of publishing

                               Classes                   *unavailable at time of publishing          9 week classes

                               Fall Break                *unavailable at time of publishing

                               Practicum in CE II        *unavailable at time of publishing          Full-time 6 weeks

                               Apply for                 *unavailable at time of publishing          FlashLine application
                               Graduation                                                            available October - January

    Spring 2024                Semester 4                *unavailable at time of publishing

                               Classes                   *unavailable at time of publishing          8 week classes

                               Spring Recess             *unavailable at time of publishing          NOTE: This break is
                                                                                                     different from the KSU
                                                                                                     Academic Calendar

                               Practicum in CE III       *unavailable at time of publishing          Full-time, 7 weeks

                               Capstone Week             *unavailable at time of publishing

                               Graduation                May 2024

                               National PTA              July, 2024
                               Examination

NOTE: Under certain circumstances, PTST students in Practicum courses are required to attend clinicals on days outside of the academic
calendar. These circumstances may occur on scheduled or unscheduled campus closures or on days when classes are cancelled, but the campus
remains open. Examples include certain holidays, spring recess, snow days, and/or prior to the start of semesters.

                                         ALL DATES LISTED ARE SUBJECT TO CHANGE

                                                              P a g e | 17
Anticipated Tuition & Fee Costs
                            for the PTST Technical Study Students
                                    (Revised May 2021 for academic year 2021-22)

Anticipated tuition and fees incurred by PTST and PTST-ATT students in academic year 2021-22 are based on
current information provided by the Kent State University Bursar’s Office. Costs per semester will vary, depending on
academic load, courses previously completed, and the delivery method. Please note that tuition and fees reflect the
amount approved for academic year 2020-21 and are subject to change.
A. Summary of Expected Costs per Course (Estimated and Subject to Change)

      Course       Credit          Tuition 1            Course    Additional Fees for         Textbooks 6
                   Hour                                 Fees 4     Online Courses5
                                         Non-Ohio                                 Non-Ohio
                              Ohio 2                                  Ohio
                                         Resident 3                                Resident

  AHS 12010           1       $298.87      $667.87        --            $12            $22              0
  AHS 12005           3       $893.61          $1971      --            $36            $66           $100
  AHS 22002           3       $893.61          $1971      --                 --          --          $135
  AHS 22003           1       $298.87      $667.87        --                 --          --          $135
  AHS 24010           1       $298.87      $667.87        --            $12            $22            $48
  BSCI 11010          3       $893.61          $1971                         --          --          $100
  BSCI 11020          3       $893.61          $1971                         --          --          $100
  PSYC 11762          3       $893.61          $1971                   $462           $492            $65
  Kent Core          15      $3280.44          $9855              $154/r           $164/hr      unknown
  PTST 10000          1       $298.87      $667.87        --            $12            $22            $40
  PTST 10011          1       $298.87      $667.87       $24                                         $100
  PTST 10001          4      $1191.48          $2628     $96                 --          --          $106
  PTST 10003          2       $595.74     $1335.74       $48            $24            $44            $95
  PTST 10004          4      $1191.48          $2628     $96                 --          --           $78
  PTST 10010          8      $2382.96          $5256     $96                 --          --          $355
  PTST 11005          2       $595.74     $1335.74       $48            $24            $44            $35
  PTST 11092          1       $298.87      $667.87       $24                 --          --             0
  PTST 20003          2       $595.74     $1335.74       $48                 --          --           $73

                                                       P a g e | 18
PTST 20004         4       $1191.48         $2628       $96            --            --             $90
PTST 20006         4       $1191.48         $2628       $96            --            --            $165
PTST 20008         2         $595.74     $1335.74       $48          $24           $44             $100
PTST 22005         26        $595.74     $1335.74       $48          $24           $44                 0
PTST 22007         26        $595.74     $1335.74       $48          $24           $44              $75
PTST 22092         2         $595.74     $1335.74       $48          $24           $44                 0
PTST 23092         2         $595.74     $1335.74       $48          $24           $44                 0
PTST 20011         2         $595.74     $1335.74       $48          $24           $44                 0

    1.   Tuition and fees are established annually by the KSU Board of Directors.
    2.   Ohio Residents: $274.50 per credit hour; or $3018.50 for 12-18 credit hours. Does not include fees.
    3.   Non-Ohio Residents: $664 per credit hour; or $7672 for 12-18 credit hours or more per semester. Does not include
         fees. (Students in the following counties are eligible for a tuition surcharge reduction: Brooke, Hancock, and Ohio
         counties in West Virginia; Allegheny, Beaver, Butler, Crawford, Erie, Lawrence, and Mercer counties in
         Pennsylvania. Contact financial aid for details.)
    4.   PTST Course/Program Fees: $24 per credit hour in selected courses.
    5.   Distance Learning fees for fully online courses: Resident = $12.00/hr, Non-Ohio Resident = $22.00/hr.
    6.   Approximate pricing for Textbooks

                                                    P a g e | 19
B. ESTIMATED Cost to complete all course requirements on the PTST or PTST-ATT Roadmap.

                                   PTST                     PTST                          PTST-ATT
                             East Liverpool               Ashtabula                        Ashtabula
                           Credit     In-State     Credit       In-State       Credit   In-State      Out of State
                           Hour       Tuition      Hour         Tuition        Hour     Tuition         tuition
 Pre Semester                10           $2980      10          $2980           --             --                --
 Semester 1                  12           $3018      13             $3018       12         $3576              $7884
 Summer                       --               -      -                    -     --
 Semester 2                  16           $3018      16             $3018       15         $3018              $9855
 Summer                        1           $298      --                  --      --
 Semester 3                  13           $3018      12             $3018         9        $2682              $5913
 Summer                       --                      2               $596       --
 Semester 4                  13           $3018      13             $3018         6        $1788              $3942

               Tuition                  $15,350                   $15,648                $11,064             $27,594
       Course Fees                        $650 1                    $650 1                 $450 1             $450 1
      Textbooks &                         $1,138                   $1,138                  $1,138             $1,138
      Subscriptions
 Distance Learning                  Not Required              Not Required                   $654              $844
     / Online Fees

              TOTAL                     $17,138                   $17,436               $13,2306             $30,026

              1.   Course Fees: PTST Technical Study: Disposable lab supplies, Gait Belt & Goniometer, Nametag,
                   Acadaware, Exercise Pro Live Subscription, Theraband Sample Pack, Online Advantage exam, NPTE Review
                   Course, APTA Membership, PEAT Exam, Scorebuilder’s Basecamp

C. Additional Expenses normally incurred by PTST & PTST-ATT students.
       Physical examination and current immunizations (Cost varies by provider)
       CPR certification (Approximately $35-50)
       Clinical education expenses: Travel, uniform, meals, drug test, additional background checks
       Fees associated with becoming licensed (Approximately $750)
       Cost for travel, lodging and meals to attend the six (6) required on-campus ATT 3-day lab weekends.

                                                          P a g e | 20
Instructions for the
                               Observation & Recommendation Form

Instructions for Students – PART I
                      Print applicant name and contact information
                      Print clinic site name and contact information
                      Provide beginning date, end date and total observation hours
                      BE SURE TO USE THE CORRECT FORM FOR INPATIENT/OUTPATIENT/BONUS
                      Indicate the patients and/or settings observed providing PT services
                      Sign and date the declarations.
                      Provide this form to a licensed PT or PTA for completion of PART II.
Instructions for Clinicians – PART II
      The Observation and Recommendation form must be completed by a licensed PT or PTA
      The person completing the form should be the person who spent a significant amount of the time with the
       student.
      Observation and Recommendation forms are not accepted from relatives of the applicant.
      Once the applicant signs the waiver, they are NEVER allowed to see the Observation and Recommendation
       Form.
      The therapist’s honest and forthright responses are essential to the application and selection process.
      Please contact the PTA program office with any questions about either the recommendation process, or the
       PTA program at KSU.
      FAX or mail the Observation and Recommendation Form before the April 1st application deadline

                   Physical Therapist Assistant Program
                   Kent State University at East Liverpool           FAX: 330-382-7564
                   400 E. Fourth Street                              Phone: 330-382-7448
                   East Liverpool, OH 43920

Thank You Clinicians:
   The time you take to introduce future PTA student to the physical therapy profession is very much appreciated.
   Your recommendation is used to help determine which applicants are selected for the incoming class in the Physical
   Therapist Assistant Technology Program at Kent State. We hope this process is enjoyable for you, and rewarding
   for the applicant. We truly appreciate your honest and candid opinion.

                                                   P a g e | 21
Kent State University Physical Therapist Assistant Program
                      2022 INPATIENT Observation & Recommendation Form
PART I: Completed by Applicant
Applicant Name (print)_______________________ Phone (____) ____________ KSU Email ______________
Clinic Site Name _____________________________________ PT Dept. Phone (____) ________________
Address           _______________________________________________________________________________
Observation Dates ___/___/_____ to ___/___/______
                                                                           Check all observed PT services.
Total Hours at this Clinic _________
                                                                           __ Acute care           __ Pediatrics

Applicant Declarations:                                                    __ Sub acute care       __ Geriatrics

                                                                           __ Skilled Nursing      __ Athletes
    I am aware that any dishonesty will disqualify my
     application to PTST technical study.                                  __ Rehabilitation       __Wellness Center
    My signature waives my right to review this
                                                                           __ Home Health          __ School
     completed form.
                                                                           __ Hospital             __ Private Practice

                                                                           __ Orthopedics          __ Work Setting
Applicant Signature ____________________________________________   Date__________________
                                                        __ Neuromuscular     __ Cardiopulmonary
PART II: Completed by a LICENSED PT or PTA
Rate the applicant on each of these behavioral characteristics as
demonstrated during the observation time. (Please mark one box for each
characteristic)                                                                                 Recommendation of this
                                                                                                applicant. (Select One)
                                                                       Good   Fair    Poor       Highly recommended
                            CHARACTERISTIC
     1.   Reliability / Accountability                                                           Recommended
     2.   Verbal / Non-verbal Communication
                                                                                                 Recommended with
     3.   Interpersonal Skills
                                                                                                  reservation
     4.   Inquisitiveness, Motivation & Independence
     5.   Professionalism, Maturity, Ability to work with others                                 Not recommended
     6. Intellectual Potential, Judgment & Common Sense

Evaluating Therapist Name (print)__________________________________________Date _______________

Signature ___________________________________________________ State & License # _______________

                            MAIL or FAX directly to KSU PTA Program FAX: 330-382-7564

                                                            P a g e | 22
Instructions for the
                                Observation & Recommendation Form
Instructions for Students – PART I
                      Print applicant name and contact information
                      Print clinic site name and contact information
                      Provide beginning date, end date and total observation hours
                      Indicate if Inpatient (patient stays overnight at the facility) or Outpatient ( patient travels to clinic
                         site)
                      Indicate the patients and/or settings observed providing PT services
                      Sign and date the declarations.
                      Provide this form to a licensed PT or PTA for completion of PART II.
Instructions for Clinicians – PART II
      The Observation and Recommendation form must be completed by a licensed PT or PTA
      The person completing the form should be the person who spent a significant amount of the time with the
       student.
      Observation and Recommendation forms are not accepted from relatives of the applicant.
      Once the applicant signs the waiver, they are NEVER allowed to see the Observation and Recommendation
       Form.
      The therapist’s honest and forthright responses are essential to the application and selection process.
      Please contact the PTA program office with any questions about either the recommendation process, or the
       PTA program at KSU.
      FAX or mail the Observation and Recommendation Form before the April 1st application deadline

                   Physical Therapist Assistant Program
                   Kent State University at East Liverpool                 FAX: 330-382-7564
                   400 E. Fourth Street                                    Phone: 330-382-7448
                   East Liverpool, OH 43920

Thank You Clinicians:
   The time you take to introduce future PTA student to the physical therapy profession is very much appreciated.
   Your recommendation is used to help determine which applicants are selected for the incoming class in the Physical
   Therapist Assistant Technology Program at Kent State. We hope this process is enjoyable for you, and rewarding
   for the applicant. We truly appreciate your honest and candid opinion.

                                                       P a g e | 23
Kent State University Physical Therapist Assistant Program
                     2022 OUTPATIENT Observation & Recommendation Form
PART I: Completed by Applicant
Applicant Name (print)_______________________ Phone (____) ____________ KSU Email ______________
Clinic Site Name _____________________________________ PT Dept. Phone (____) ________________
Address           _______________________________________________________________________________
Observation Dates ___/___/_____ to ___/___/______
                                                                           Check all observed PT services.
Total Hours at this Clinic _________
                                                                           __ Acute care           __ Pediatrics

Applicant Declarations:                                                    __ Sub acute care       __ Geriatrics

                                                                           __ Skilled Nursing      __ Athletes
    I am aware that any dishonesty will disqualify my
     application to PTST technical study.                                  __ Rehabilitation       __Wellness Center
    My signature waives my right to review this
                                                                           __ Home Health          __ School
     completed form.
                                                                           __ Hospital             __ Private Practice

                                                                           __ Orthopedics          __ Work Setting
Applicant Signature ____________________________________________   Date__________________
                                                        __ Neuromuscular     __ Cardiopulmonary
PART II: Completed by a LICENSED PT or PTA
Rate the applicant on each of these behavioral characteristics as
demonstrated during the observation time. (Please mark one box for each
characteristic)                                                                                 Recommendation of this
                                                                                                applicant. (Select One)
                                                                       Good   Fair    Poor       Highly recommended
                            CHARACTERISTIC
     1.   Reliability / Accountability                                                           Recommended
     2.   Verbal / Non-verbal Communication
                                                                                                 Recommended with
     3.   Interpersonal Skills
                                                                                                  reservation
     4.   Inquisitiveness, Motivation & Independence
     5.   Professionalism, Maturity, Ability to work with others                                 Not recommended
     6. Intellectual Potential, Judgment & Common Sense

Evaluating Therapist Name (print)__________________________________________Date _______________

Signature ___________________________________________________ State & License # _______________

                                        MAIL or FAX directly to KSU PTA Program
                                                         FAX: 330-382-7564

                                                            P a g e | 24
Instructions for the
                                Observation & Recommendation Form

Instructions for Students – PART I
                      Print applicant name and contact information
                      Print clinic site name and contact information
                      Provide beginning date, end date and total observation hours
                      Indicate if Inpatient (patient stays overnight at the facility) or Outpatient ( patient travels to clinic
                         site)
                      Indicate the patients and/or settings observed providing PT services
                      Sign and date the declarations.
                      Provide this form to a licensed PT or PTA for completion of PART II.

Instructions for Clinicians – PART II
      The Observation and Recommendation form must be completed by a licensed PT or PTA
      The person completing the form should be the person who spent a significant amount of the time with the
       student.
      Observation and Recommendation forms are not accepted from relatives of the applicant.
      Once the applicant signs the waiver, they are NEVER allowed to see the Observation and Recommendation
       Form.
      The therapist’s honest and forthright responses are essential to the application and selection process.
      Please contact the PTA program office with any questions about either the recommendation process, or the
       PTA program at KSU.
      FAX or mail the Observation and Recommendation Form before the April 1st application deadline

                   Physical Therapist Assistant Program
                   Kent State University at East Liverpool                 FAX: 330-382-7564
                   400 E. Fourth Street                                    Phone: 330-382-7448
                   East Liverpool, OH 43920

Thank You Clinicians:
   The time you take to introduce future PTA student to the physical therapy profession is very much appreciated.
   Your recommendation is used to help determine which applicants are selected for the incoming class in the Physical
   Therapist Assistant Technology Program at Kent State. We hope this process is enjoyable for you, and rewarding
   for the applicant. We truly appreciate your honest and candid opinion.

                                                       P a g e | 25
Kent State University Physical Therapist Assistant Program
                          2022 BONUS Observation & Recommendation Form
PART I: Completed by Applicant
Applicant Name (print)_______________________ Phone (____) ____________ KSU Email ______________
Clinic Site Name _____________________________________ PT Dept. Phone (____) ________________
Address           _______________________________________________________________________________
Observation Dates ___/___/_____ to ___/___/______
                                                                           Check all observed PT services.
Total Hours at this Clinic _________
                                                                           __ Acute care           __ Pediatrics

Applicant Declarations:                                                    __ Sub acute care       __ Geriatrics

                                                                           __ Skilled Nursing      __ Athletes
    I am aware that any dishonesty will disqualify my
     application to PTST technical study.                                  __ Rehabilitation       __Wellness Center
    My signature waives my right to review this
                                                                           __ Home Health          __ School
     completed form.
                                                                           __ Hospital             __ Private Practice

                                                                           __ Orthopedics          __ Work Setting
Applicant Signature ____________________________________________   Date__________________
                                                        __ Neuromuscular     __ Cardiopulmonary
PART II: Completed by a LICENSED PT or PTA
Rate the applicant on each of these behavioral characteristics as
demonstrated during the observation time. (Please mark one box for each
characteristic)                                                                                 Recommendation of this
                                                                                                applicant. (Select One)
                                                                       Good   Fair    Poor       Highly recommended
                            CHARACTERISTIC
     1.   Reliability / Accountability                                                           Recommended
     2.   Verbal / Non-verbal Communication
                                                                                                 Recommended with
     3.   Interpersonal Skills
                                                                                                  reservation
     4.   Inquisitiveness, Motivation & Independence
     5.   Professionalism, Maturity, Ability to work with others                                 Not recommended
     6. Intellectual Potential, Judgment & Common Sense

Evaluating Therapist Name (print)__________________________________________Date _______________

Signature ___________________________________________________ State & License # _______________

                                        MAIL or FAX directly to KSU PTA Program
                                                         FAX: 330-382-7564

                                                            P a g e | 26
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